PEARL DENTAL CENTER PC
NPI: 1720580301
· PEPPERELL, MA 01463
· Dental Clinic/Center
· NPI assigned 02/28/2018
1,107
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
284 |
$10K |
| 2019 |
387 |
$12K |
| 2020 |
167 |
$5K |
| 2021 |
227 |
$8K |
| 2022 |
103 |
$3K |
| 2023 |
13 |
$333.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
343 |
325 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
648 |
609 |
$15K |
| D1206 |
Topical application of fluoride varnish |
117 |
110 |
$3K |
| D1120 |
Prophylaxis - child |
28 |
26 |
$1K |
| D0274 |
Bitewings - four radiographic images |
25 |
24 |
$820.00 |
| D0220 |
Intraoral - periapical first radiographic image |
20 |
13 |
$206.00 |